Whalio Doctors

NPI 1538108089

Kathryn L McMullan, MD

Practitioner Allergy Physician Eagle, ID

Practice location

Address
323 E Riverside Dr STE 234, Eagle, ID 83616-6864
Phone
(208) 938-4080
Fax
(208) 938-8922

Registered specialties

Allergy Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207KA0200X Licence M8497 (ID)

Registry record

NPI
1538108089
Entity type
Individual
Sex (as registered)
Female
NPI issued
6 Jun 2006
Record last updated
20 Jan 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.